BP ANZ FVC

LEVEL 2 TASK RISK ASSESMENT (TRA)

ELECTRONIC FORM
Job Title: Brief Description of Job:
Area /Location:
Work Permit Set No:
Date Performed:
Date of Work Site Visit:
Contractor JSA/SWMS No:
TRA Facilitator
Name Position Signature Date

I agree with the residual risk levels and control measures required to perform the tasks based on the identified tasks and
hazards. I have instructed the TRA Team Members in the TRA process and their roles and have verified that the team
understands the assessment process and what the process is trying to achieve. Additionally, I attest that the members of the
TRA team have visited the job site to identify and document hazards associated with the physical layout of the area which are
pertinent to the permit related tasks to be performed.

TRA Team Members List of Tasks Involved in Performing Job:

Name Position Signature Date Tasks

We confirm we have been instructed in the TRA process and understand our role in this process. We agree with the residual
risk levels and control measures required to perform the tasks based on the identified tasks and hazards, and therefore
recommend the task for the appropriate approval.

TRA Approval
Approval Authority Position Signature Date

3 copies required to be printed on completion. Page 1 of 8

Revision 2
Copies required for Performing Authority, Site Office and Issuing Authority. March 2012
 BP ANZ FVC
LEVEL 2 TASK RISK ASSESMENT (TRA)
ELECTRONIC FORM
Job Title: Brief Description of Job:
Area /Location:
Work Permit Set No:
Date Performed:
Date of Work Site Visit:
Contractor JSA/SWMS No:
TRA Facilitator
Name Position Signature Date

I agree with the residual risk levels and control measures required to perform the tasks based on the identified tasks and
hazards. I have instructed the TRA Team Members in the TRA process and their roles and have verified that the team
understands the assessment process and what the process is trying to achieve. Additionally, I attest that the members of the
TRA team have visited the job site to identify and document hazards associated with the physical layout of the area which are
pertinent to the permit related tasks to be performed.

TRA Team Members List of Tasks Involved in Performing Job:

Name Position Signature Date Tasks

I agree with the residual risk levels and control measures required to perform the tasks based on the identified tasks and
hazards and approve the use of this Level 2 TRA (signed approval required which can be recorded with use of fax, email or
other electronic means). Details of the Approver of the Highest Residual Risk required below as per ANZ Level 2 Approval
Table.

3 copies required to be printed on completion. Page 2 of 8

Revision 2
Copies required for Performing Authority, Site Office and Issuing Authority. March 2012
 BP ANZ FVC
LEVEL 2 TASK RISK ASSESMENT (TRA)
ELECTRONIC FORM
Job Title: 0 Brief Description of Job:
Area /Location: 0 0
Work Permit Set No: 0
Date Performed: 12/30/1899
Date of Work Site Visit: 12/30/1899
Contractor JSA/SWMS No: 0

Risk Assessment
SOURCE OF
TASK HAZARD CONTROL RESIDUAL RISK PERSON RESPONSIBLE
ENERGY

List the tasks required to perform the activity in
the sequence they are carried out
Describe all hazards identified for each Decide on the Level of Risk using
Describe all controls applicable for each the Level 2 RA Matrices. Is the Who is responsible to implement
Select the relevant TASK. Consider Task Hazards, Job site
hazard. Use the Hierarchy of Controls Task safe to do? the control measure identified?
Source of Energy hazards, Process hazards, SIMOP’s and
located on the following page. Name Required of person
Human Factors
C P Risk Level

3 copies required to be printed on completion. Page 3 of 8

Revision 2
Copies required for Performing Authority, Site Office and Issuing Authority. March 2012
 SOURCE OF
TASK HAZARD CONTROL RESIDUAL RISK PERSON RESPONSIBLE
ENERGY

List the tasks required to perform the activity in
the sequence they are carried out
Describe all hazards identified for each Decide on the Level of Risk using
Describe all controls applicable for each the Level 2 RA Matrices. Is the Who is responsible to implement
Select the relevant TASK. Consider Task Hazards, Job site
hazard. Use the Hierarchy of Controls Task safe to do? the control measure identified?
Source of Energy hazards, Process hazards, SIMOP’s and
located on the following page. Name Required of person
Human Factors
C P Risk Level

3 copies required to be printed on completion. Page 4 of 8

Revision 2
Copies required for Performing Authority, Site Office and Issuing Authority. March 2012
 BP ANZ FVC
LEVEL 2 TASK RISK ASSESMENT (TRA)
ELECTRONIC FORM
Job Title: 0 Brief Description of Job:
Area /Location: 0 0
Work Permit Set No: 0
Date Performed: 12/30/1899
Date of Work Site Visit: 12/30/1899
Contractor JSA/SWMS No: 0

ACTION BY DUE STATUS COMMENTS

3 copies required to be printed on completion. Page 5 of 8

Revision 2
Copies required for Performing Authority, Site Office and Issuing Authority. March 2012
 ACTION BY DUE STATUS COMMENTS

3 copies required to be printed on completion. Page 6 of 8

Revision 2
Copies required for Performing Authority, Site Office and Issuing Authority. March 2012
Additional Document Aids

Revision 2 3 copies required to be printed on completion. March 2012

Copies required for Performing Authority, Site Office and Issuing Authority.
Revision 2 3 copies required to be printed on completion. March 2012
Copies required for Performing Authority, Site Office and Issuing Authority.